Organization
PHAN H THANH M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH HUU PHAN M.D. (PRESIDENT)
(248) 681-1025
Entity
Organization
Contact information
Practice address
4000 HIGHLAND RD, SUITE 110, WATERFORD, MI 48328-2167
(248) 681-1025
(248) 681-1533
Mailing address
4000 HIGHLAND RD, SUITE 110, WATERFORD, MI 48328-2167
(248) 681-1025
(248) 681-1533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301 035554
MI
2086S0129X
Vascular Surgery Physician
4301 035554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206316622
BCBSM/BCN
MI
01
—
87199A
HAP
MI
Enumeration date
03/04/2008
Last updated
04/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us